A case of endovascular treatment for iatrogenic left vertebral artery injury due to central line catheter placement

Takashi Endo, MD; Toshio Takayama, MD, PhD; Masaru Kimura, MD, PhD; Yasuaki Mochizuki, MD, PhD; Ryosuke Taniguchi, MD, PhD; Katsuyuki Hoshina, MD, PhD

Journal of Vascular Surgery Cases and Innovative Techniques (Apr 2024)

A case of endovascular treatment for iatrogenic left vertebral artery injury due to central line catheter placement

Takashi Endo, MD,
Toshio Takayama, MD, PhD,
Masaru Kimura, MD, PhD,
Yasuaki Mochizuki, MD, PhD,
Ryosuke Taniguchi, MD, PhD,
Katsuyuki Hoshina, MD, PhD

Affiliations

Takashi Endo, MD: Division of Vascular Surgery, Department of Surgery, Graduate School of Medicine, The University of Tokyo, Tokyo, Japan
Toshio Takayama, MD, PhD: Correspondence: Toshio Takayama, MD, PhD, Division of Vascular Surgery, Department of Surgery, Graduate School of Medicine, The University of Tokyo, 7-3-1 Hongo, Bunkyo-ku, Tokyo 113-8655, Japan; Division of Vascular Surgery, Department of Surgery, Graduate School of Medicine, The University of Tokyo, Tokyo, Japan
Masaru Kimura, MD, PhD: Division of Vascular Surgery, Department of Surgery, Graduate School of Medicine, The University of Tokyo, Tokyo, Japan
Yasuaki Mochizuki, MD, PhD: Division of Vascular Surgery, Department of Surgery, Graduate School of Medicine, The University of Tokyo, Tokyo, Japan
Ryosuke Taniguchi, MD, PhD: Division of Vascular Surgery, Department of Surgery, Graduate School of Medicine, The University of Tokyo, Tokyo, Japan
Katsuyuki Hoshina, MD, PhD: Division of Vascular Surgery, Department of Surgery, Graduate School of Medicine, The University of Tokyo, Tokyo, Japan

Journal volume & issue: Vol. 10, no. 2
p. 101368

Abstract

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We describe a case of endovascular treatment for an iatrogenic left vertebral artery injury after central line catheter placement in a 68-year-old male patient. The patient had a massive pulmonary embolism, and a Swan-Ganz catheter was required to monitor the patient's circulatory condition. However, the catheter was inserted into the left vertebral artery and passed through the left internal jugular vein. Endovascular treatment was indicated due to the patient's poor general health. Complete hemostasis was achieved, and the postoperative course was uneventful without neurologic deficits.

Published in Journal of Vascular Surgery Cases and Innovative Techniques

ISSN: 2468-4287 (Online)
Publisher: Elsevier
Country of publisher: Netherlands
LCC subjects: Medicine: Surgery; Medicine: Internal medicine: Specialties of internal medicine: Diseases of the circulatory (Cardiovascular) system
Website: https://www.sciencedirect.com/journal/journal-of-vascular-surgery-cases-innovations-and-techniques

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